Complications following completion lymphadenectomy versus therapeutic lymphadenectomy for melanoma - A systematic review of the literature.
Identifieur interne : 000074 ( PubMed/Corpus ); précédent : 000073; suivant : 000075Complications following completion lymphadenectomy versus therapeutic lymphadenectomy for melanoma - A systematic review of the literature.
Auteurs : J A Moody ; S J Botham ; K E Dahill ; D L Wallace ; J T HardwickeSource :
- European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology [ 1532-2157 ] ; 2017.
English descriptors
- KwdEn :
- Humans, Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymphatic Metastasis, Lymphedema (etiology), Melanoma (secondary), Melanoma (surgery), Sentinel Lymph Node (pathology), Sentinel Lymph Node Biopsy, Seroma (etiology), Surgical Wound Dehiscence (etiology), Surgical Wound Infection (etiology).
- MESH :
- adverse effects : Lymph Node Excision.
- etiology : Lymphedema, Seroma, Surgical Wound Dehiscence, Surgical Wound Infection.
- methods : Lymph Node Excision.
- pathology : Sentinel Lymph Node.
- secondary : Melanoma.
- surgery : Melanoma.
- Humans, Lymphatic Metastasis, Sentinel Lymph Node Biopsy.
Abstract
Completion lymph node dissection (CLND) following a positive sentinel lymph node biopsy (SLNB) has been reported to be less morbid than lymphadenectomy for palpable disease (therapeutic lymph node dissection; TLND). The reporting of morbidity data can be heterogeneous, and hence no 'average' surgical complication rates of these procedures has been reported. This review aims to determine complications rates to inform patients undergoing surgery for metastatic melanoma.
DOI: 10.1016/j.ejso.2017.07.003
PubMed: 28756017
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pubmed:28756017Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Complications following completion lymphadenectomy versus therapeutic lymphadenectomy for melanoma - A systematic review of the literature.</title><author><name sortKey="Moody, J A" sort="Moody, J A" uniqKey="Moody J" first="J A" last="Moody">J A Moody</name><affiliation><nlm:affiliation>GKT School of Medical Education, King's College London, Great Maze Pond, London, SE1 9RT, United Kingdom; College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Botham, S J" sort="Botham, S J" uniqKey="Botham S" first="S J" last="Botham">S J Botham</name><affiliation><nlm:affiliation>Warwick Medical School, The University of Warwick, Coventry, CV4 7AL, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Dahill, K E" sort="Dahill, K E" uniqKey="Dahill K" first="K E" last="Dahill">K E Dahill</name><affiliation><nlm:affiliation>Warwick Medical School, The University of Warwick, Coventry, CV4 7AL, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Wallace, D L" sort="Wallace, D L" uniqKey="Wallace D" first="D L" last="Wallace">D L Wallace</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University Hospitals of Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Hardwicke, J T" sort="Hardwicke, J T" uniqKey="Hardwicke J" first="J T" last="Hardwicke">J T Hardwicke</name><affiliation><nlm:affiliation>Warwick Medical School, The University of Warwick, Coventry, CV4 7AL, United Kingdom; Department of Plastic Surgery, University Hospitals of Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, United Kingdom. Electronic address: j.hardwicke@warwick.ac.uk.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28756017</idno><idno type="pmid">28756017</idno><idno type="doi">10.1016/j.ejso.2017.07.003</idno><idno type="wicri:Area/PubMed/Corpus">000074</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000074</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Complications following completion lymphadenectomy versus therapeutic lymphadenectomy for melanoma - A systematic review of the literature.</title><author><name sortKey="Moody, J A" sort="Moody, J A" uniqKey="Moody J" first="J A" last="Moody">J A Moody</name><affiliation><nlm:affiliation>GKT School of Medical Education, King's College London, Great Maze Pond, London, SE1 9RT, United Kingdom; College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Botham, S J" sort="Botham, S J" uniqKey="Botham S" first="S J" last="Botham">S J Botham</name><affiliation><nlm:affiliation>Warwick Medical School, The University of Warwick, Coventry, CV4 7AL, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Dahill, K E" sort="Dahill, K E" uniqKey="Dahill K" first="K E" last="Dahill">K E Dahill</name><affiliation><nlm:affiliation>Warwick Medical School, The University of Warwick, Coventry, CV4 7AL, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Wallace, D L" sort="Wallace, D L" uniqKey="Wallace D" first="D L" last="Wallace">D L Wallace</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University Hospitals of Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, United Kingdom.</nlm:affiliation></affiliation></author><author><name sortKey="Hardwicke, J T" sort="Hardwicke, J T" uniqKey="Hardwicke J" first="J T" last="Hardwicke">J T Hardwicke</name><affiliation><nlm:affiliation>Warwick Medical School, The University of Warwick, Coventry, CV4 7AL, United Kingdom; Department of Plastic Surgery, University Hospitals of Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, United Kingdom. Electronic address: j.hardwicke@warwick.ac.uk.</nlm:affiliation></affiliation></author></analytic><series><title level="j">European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</title><idno type="eISSN">1532-2157</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Node Excision (methods)</term><term>Lymphatic Metastasis</term><term>Lymphedema (etiology)</term><term>Melanoma (secondary)</term><term>Melanoma (surgery)</term><term>Sentinel Lymph Node (pathology)</term><term>Sentinel Lymph Node Biopsy</term><term>Seroma (etiology)</term><term>Surgical Wound Dehiscence (etiology)</term><term>Surgical Wound Infection (etiology)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Seroma</term><term>Surgical Wound Dehiscence</term><term>Surgical Wound Infection</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Sentinel Lymph Node</term></keywords><keywords scheme="MESH" qualifier="secondary" xml:lang="en"><term>Melanoma</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Melanoma</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Lymphatic Metastasis</term><term>Sentinel Lymph Node Biopsy</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Completion lymph node dissection (CLND) following a positive sentinel lymph node biopsy (SLNB) has been reported to be less morbid than lymphadenectomy for palpable disease (therapeutic lymph node dissection; TLND). The reporting of morbidity data can be heterogeneous, and hence no 'average' surgical complication rates of these procedures has been reported. This review aims to determine complications rates to inform patients undergoing surgery for metastatic melanoma.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28756017</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>30</Day></DateCreated><DateCompleted><Year>2017</Year><Month>09</Month><Day>12</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2157</ISSN><JournalIssue CitedMedium="Internet"><Volume>43</Volume><Issue>9</Issue><PubDate><Year>2017</Year><Month>Sep</Month></PubDate></JournalIssue><Title>European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</Title><ISOAbbreviation>Eur J Surg Oncol</ISOAbbreviation></Journal><ArticleTitle>Complications following completion lymphadenectomy versus therapeutic lymphadenectomy for melanoma - A systematic review of the literature.</ArticleTitle><Pagination><MedlinePgn>1760-1767</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0748-7983(17)30587-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ejso.2017.07.003</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Completion lymph node dissection (CLND) following a positive sentinel lymph node biopsy (SLNB) has been reported to be less morbid than lymphadenectomy for palpable disease (therapeutic lymph node dissection; TLND). The reporting of morbidity data can be heterogeneous, and hence no 'average' surgical complication rates of these procedures has been reported. This review aims to determine complications rates to inform patients undergoing surgery for metastatic melanoma.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A systematic review of English-language literature from 2000 to 2017, reporting morbidity information about CLND and TLND for melanoma, was performed. The methodological quality of the included studies was performed using the methodological index for non-randomised studies (MINORS) instrument and Detsky score. Pooled proportions of post-operative complications were constructed using a random effects statistical model.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">After application of inclusion and exclusion criteria, 18 articles progressed to the final analysis. In relation to TLND (1627 patients), the overall incidence of surgical complications was 39.3% (95% CI 32.6-46.2); including wound infection/breakdown 25.4% (95% CI: 20.9-30.3); lymphoedema 20.9% (95% CI: 13.8-29.1); and seroma 20.4% (95% CI: 15.9-25.2). For CLND (1929 patients), the overall incidence of surgical complications was 37.2% (95% CI 27.6-47.4); including wound infection/breakdown 21.6% (95% CI: 13.8-30.6); lymphoedema 18% (95% CI: 12.5-24.2); and seroma 17.9% (95% CI: 10.3-27). The complication rate was marginally lower for CLND but not to statistical significance.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">This study provides information about the incidence of complications after CLND and TLND. It can be used to counsel patients about the procedures and it sets a benchmark against which surgeons can audit their practice.</AbstractText><CopyrightInformation>Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Moody</LastName><ForeName>J A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>GKT School of Medical Education, King's College London, Great Maze Pond, London, SE1 9RT, United Kingdom; College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Botham</LastName><ForeName>S J</ForeName><Initials>SJ</Initials><AffiliationInfo><Affiliation>Warwick Medical School, The University of Warwick, Coventry, CV4 7AL, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dahill</LastName><ForeName>K E</ForeName><Initials>KE</Initials><AffiliationInfo><Affiliation>Warwick Medical School, The University of Warwick, Coventry, CV4 7AL, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wallace</LastName><ForeName>D L</ForeName><Initials>DL</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University Hospitals of Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hardwicke</LastName><ForeName>J T</ForeName><Initials>JT</Initials><AffiliationInfo><Affiliation>Warwick Medical School, The University of Warwick, Coventry, CV4 7AL, United Kingdom; Department of Plastic Surgery, University Hospitals of Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, United Kingdom. Electronic address: j.hardwicke@warwick.ac.uk.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Surg Oncol</MedlineTA><NlmUniqueID>8504356</NlmUniqueID><ISSNLinking>0748-7983</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008545" MajorTopicYN="N">Melanoma</DescriptorName><QualifierName UI="Q000556" MajorTopicYN="N">secondary</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000071036" MajorTopicYN="N">Sentinel Lymph Node</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D049291" MajorTopicYN="N">Seroma</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013529" MajorTopicYN="N">Surgical Wound Dehiscence</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013530" MajorTopicYN="N">Surgical Wound Infection</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Completion</Keyword><Keyword MajorTopicYN="N">Complications</Keyword><Keyword MajorTopicYN="N">Lymph node dissection</Keyword><Keyword MajorTopicYN="N">Lymphadenectomy</Keyword><Keyword MajorTopicYN="N">Melanoma</Keyword><Keyword MajorTopicYN="N">Therapeutic</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>04</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>05</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>07</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28756017</ArticleId><ArticleId IdType="pii">S0748-7983(17)30587-5</ArticleId><ArticleId IdType="doi">10.1016/j.ejso.2017.07.003</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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